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Changing trend and influencing factors of health literacy among residents in Ningbo from 2015 to 2019 |
XU Qianqian, MEI Qiuhong, FENG Hongwei, ZHU Yingying, HE Tianfeng
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Department of Health Education, Ningbo Center for Disease Control and Prevention, Ningbo, Zhejiang 315010, China |
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Abstract Objective To learn the health literacy status, trend and associated factors of Ningbo residents from 2015 to 2019, so as to provide basis for developing health policies and interventions. Methods The monitoring data of health literacy of Ningbo residents from 2015 to 2019 was collected. The health literacy level was calculated and standardized by the population data of the sixth national census of Ningbo in 2010; five-year absolute growth and growth rate were used to reflect the changing trend. Multivariate logistic regression model was employed to analyze the influencing factors for the health literacy level. Results The health literacy levels from 2015 to 2019 were 15.44%, 21.73%, 22.41%, 27.60% and 30.03%, with an annual increase trend ( P<0.05 ). The five-year absolute growth and growth rate were 14.59% and 94.49%. The Results of multivariate logistic regression analysis indicated that the year ( OR=1.158, 95%CI: 1.132-1.184 ), age ( 25-<35岁 years, OR=1.235, 95%CI: 1.039-1.468; 35-<45岁 years, OR=1.416, 95%CI: 1.193-1.681; 45-<55岁 years, OR=1.221, 95%CI: 1.024-1.455 ) , education level ( primary school, OR=1.790, 95%CI: 1.461-2.195; junior high school, OR=2.574, 95%CI: 2.102-3.154; high school/vocational high school/technical secondary school, OR=4.863, 95%CI: 3.943-5.998; college or above, OR=8.829, 95%CI: 7.109-10.965 ) , urban areas ( OR=0.934, 95%CI: 0.874-0.998 ) and occupation ( farmers, OR=0.692, 95%CI: 0.608-0.787; workers, OR=0.746, 95%CI: 0.664-0.837; enterprise staff, OR=0.822, 95%CI: 0.745-0.906; others, OR=1.106, 95%CI: 1.009-1.211 ) were the influencing factors for health literacy level. Conclusion The health literacy level of Ningbo residents shows an upward trend from 2015 to 2019, which are associated with age, education level, area and occupation.
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Received: 07 April 2020
Revised: 19 May 2020
Published: 14 January 2021
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[1] 中华人民共和国国家卫生和计划生育委员会办公厅. 中国公民健康素养——基本知识与技能(2015年版)[Z].2015. [2] 孙浩林,傅华. 健康素养研究进展[J]. 健康教育与健康促进,2010,5(3):225-229. [3] 聂雪琼,李英华,李莉. 2012年中国居民健康素养监测数据统计分析方法[J]. 中国健康教育,2014,30(2):178-181. [4] 中华人民共和国国家卫生和计划生育委员会宣传司,中国健康教育中心.2018年中国居民健康素养监测报告[R].北京:国家卫生和计划生育委员会宣传司,2019. [5] 浙江省疾病预防控制中心. 2019年浙江省居民健康素养监测报告[R].杭州:浙江省疾病预防控制中心,2020. [6] 张楠,玉洁,岳川,等.西城区居民健康素养基本知识和理念调查[J].预防医学,2018,30(3):270-273. [7] 林军,杨文洁,陆瑛,等.2014—2018年上海市黄浦区成人健康素养监测结果分析[J].健康教育与健康促进,2019,14(4):314-318. [8] 张娜,韩铁光,庄润森,等. 深圳市社区居民健康素养与健康状况调查[J].中国健康教育,2017,33(3):251-254. [9] 苏州市人民政府.苏州市发布2017年苏州市居民健康素养监测结果[EB/OL].(2018-06-04)[2020-05-19].http://www.suzhou.gov.cn/szsrmzf/wsjkzccsjssqk/201806/Z4T1YW3N88XBHLIVO0BBQ1CQIA3JUKNZ.shtml. [10] 关天姬,周颖,邓韶英.2017年珠海市城乡居民健康素养现况调查及影响因素分析[J].职业卫生与病伤,2019,34(4):240-247. [11] 徐倩倩,朱莹莹,冯宏伟,等.宁波市居民健康素养水平及影响因素分析[J].预防医学,2018,30(2):113-116,120. [12] 吴双胜,杨鹏,李海月,等.传染病健康素养水平与传染病症状发生之间的相关性研究[J].北京大学学报,2018,50(5):937-940. [13] 胡佳,田向阳,任学锋,等.中国居民传染病健康素养测评量表验证性因子分析[J].中国公共卫生,2019,35(3):313-316. [14] 聂雪琼,李英华,李莉,等.2012—2016年中国居民基本医疗素养水平及其影响因素[J].中国健康教育,2019,35(7):579-583,587. [15] 郭田. 2016年重庆市居民基本医疗素养状况及影响因素分析[J]. 中华医学教育探索杂志,2018,17(12):1199-1204. [16] 李辉,陈洁平,龚清海,等.宁波市慢性病综合防控示范区建设成效分析[J].预防医学,2016,28(10):1076-1078. [17] 浙江省医改办.关于开展县域医疗服务共同体建设试点工作的指导意见[EB/OL].(2017-10-12)[2020-05-19]. https://www.wsjkw.zj.gov.cn/art/2017/10/12/art_1208235_11482881.html. [18] GEBOERS B,DE WINTER A F,SPOORENBERG S L W,et al.The association between health literacy and self-management abilities in adults aged 75 and older,and its moderators[J].Qual Life Res,2016,25(11):2869-2877. [19] 鲁晓娟,周路坦.老年糖尿病患者健康素养与治疗依从性现状及相关性[J].中国老年学杂志,2017,37(9):2299-2301. [20] 王波,迟丽华,张德春.潍坊市农村地区老年慢性病患者健康素养及影响因素[J].中国老年学杂志,2018,38(6):1511-1513. [21] 谢长勇,柯学峰,鲁娟.上海市社区居民健康素养现状调查[J].中国健康心理学杂志,2018,26(2):186-193. [22] 索朗德吉,李亚杰,拉巴卓玛,等.2015年西藏居民基本知识和理念方面健康素养现状[J].中国公共卫生,2018,34(2):237-240. [23] 宁波市人民政府.关于推行“双下沉、两提升”增强基层医疗卫生服务能力的实施意见[EB/OL].(2017-06-30)[2020-05-19]. http://gtog.ningbo.gov.cn/art/2017/6/30/art_381_803.html. |
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